首页|主动脉腔内隔绝术对主动脉夹层患者生活质量影响的长效研究

主动脉腔内隔绝术对主动脉夹层患者生活质量影响的长效研究

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目的:探讨主动脉腔内隔绝术对主动脉夹层患者生活质量影响的长效研究。方法:回顾性选择2016。7-2021。12月来我院诊治的主动脉夹层患者83例。根据手术方式不同,分为A组与B组,A组行常规开放式手术治疗,B组行主动脉腔内隔绝术治疗,对比两组的手术成功率、围术期指标、及平均随访时间、出院30 d的病死率、生活质量评分。结果:B组患者的死亡率低于A组,P>0。05;A组的平均住院时间、平均住院费用、平均药费明显较B组高,P<0。05。A组出院30 d的病死率明显较B组高(P<0。05)。术后2年,两组生活质量评分明显升高,且B组明显较A组高(P<0。05)。结论:主动脉腔内隔绝术治疗主动脉夹层长期疗效显著,病死率较低,术后2年患者的随访结果较好。
Long-term Study on the Effect of Endoaortic Isolation on Quality of Life in Patients with Aortic Dissection
Objective:To investigate the effect of endoaortic isolation on quality of life in patients with aortic dissection.Methods:Retrospective selection of 83 patients with aortic dissection who came to our hospital for diagnosis and treatment from July 2016 to De-cember 2021.According to different surgical methods,the patients were divided into Group A and Group B.Group A underwent conven-tional open surgery,and Group B underwent endovascular aortic dissection.The surgical success rate,perioperative indicators,average follow-up time,30 day mortality rate,and quality of life score were compared between the two groups.Results:The mortality rate of pa-tients in group B was lower than that in group A,P>0.05;the average length of hospital stay,average hospitalization cost,and average medication cost in group A were significantly higher than those in group B,P<0.05.The mortality rate of patients in group A at 30 days after discharge was significantly higher than that in group B(P<0.05).Two years after surgery,the quality of life scores of both groups significantly increased,and group B was significantly higher than group A(P<0.05).Conclusion:Endoaortic isolation in the treatment of aortic dissection has significant long-term efficacy,low mortality,and good follow-up results at 2 years after surgery.

Intra-aortic isolationAortic dissectionMortality rateFollow-up results

李强、陈士新、汤祥瑞、冷保山、黄涛

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西安交通大学医学院附属三二○一医院介入科 陕西汉中 723000

西安交通大学医学院附属三二○一医院心血管内科 陕西汉中 723000

西安交通大学医学院附属三二○一医院心胸外科 陕西汉中 723000

主动脉腔内隔绝术 主动脉夹层 病死率 随访结果

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(22)